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TRAINING ASSESSMENT FORM (for completion by Trainee)

I. THEORETICAL EDUCATION

  1. How do you judge facilities of theoretical education?
(theoretical education= lectures, teaching conferences, clinical presentations, journal review, M+M conferences etc.) / good
rather good
rather poor
poor
no answer
  1. How many hours per week during your working time do you spend on theoretical education?
/ 0 hours
0-2 hours
up to 5 hrs
more
no answer
  1. How many hours per week during your time off do you spend on theoretical education?
/ 0 hours
0-2 hours
up to 5 hrs
more
no answer

II. CLINICAL AND OPERATIVE TEACHING

  1. How do you judge practical-clinical training?
(supervision and instruction in clinical work, patient management, diagnostic procedures etc.) / good
rather good
rather poor
poor
no answer
  1. How do you judge operative training?
(supervision, instruction and opportunity) / good
rather good
rather poor
poor
no answer
  1. Was it possible for you to reach the agreed goals in operative training? (according to your training level)
/ yes
partially
no
no answer
  1. Do you use a surgical Log-book?
/ written
electronic
none
no answer
  1. Is attendance to anatomical workshops/hands-on-courses included in your programme?
/ yes
no
no answer

III. ORGANISATION OF WORK, DUTY PLAN

  1. Are you satisfied with the quality of organisation of work?
/ satisfied
rather satisfied
rather not satisfied
not satisfied
no answer
  1. Are you satisfied with the working hours?
/ satisfied
rather satisfied
rather not satisfied
not satisfied
no answer
  1. Are you satisfied with the on call duty plan?
/ satisfied
rather satisfied
rather not satisfied
not satisfied
no answer
  1. Can you compensate for overtime work?
/ yes
no
partially
no answer

IV. Communication, ENCOURAGEMENT, FEEDBACK

  1. How do you judge culture of communication in your department?
/ good
rather good
rather poor
poor
no answer
  1. How do you judge senior support and encouragement in your department?
/ good
rather good
rather poor
poor
no answer
  1. Do you have a periodic feedback regarding your training progress?
Periodic feedback =discussion with trainer, with or without evaluation sheet, once or twice a year / yes
no
partially
no answer

V. GENERAL/ INSTITUTION

  1. How were you introduced (at the beginning) to your work in the training institution?
/ good
rather good
rather poor
poor
no answer
  1. Has your training institution a written Training Curriculum?
(training plan with rotations) / yes
no
  1. Have goals of training been agreed upon at the beginning or on a yearly basis?
/ written
verbal
none
no answer
  1. I would give the training institution as a whole the following rating:
/ very good
good
fairly good
satisfactory
unsatisfactory
no answer
  1. Would you recommend your training institution?
/ yes
no
partially
no answer

VI. RESEARCH

  1. Do you have interest in research activities?
/ yes
no
  1. If so, how do you judge support and opportunity in research in the training institution?
/ good
rather good
rather poor
poor
no answer